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Emily Greenstein's picture

Emily Greenstein, APRN, CNP, CWON-AP, FACCWS
Dr. Terry Treadwell, MD, FACS

We all know that compression therapy is the “gold standard” for the treatment of venous leg ulcers. However, how do we know if we should apply compression, how much compression, and what type of compression?

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Dianne Rudolph's picture

Dianne Rudolph, DNP, APRN, GNP-BC, CWOCN, UTHSCSA

Nonviable tissue in the wound bed can be divided into 2 broad categories: slough and eschar. Although these terms are sometimes used interchangeably, it is vital to distinguish between them as they may require different management methods. Dry, hard, leathery tissue in the wound bed is referred to as Eschar. Eschar is a type of necrotic tissue that is secondary to cell death following tissue injury (ie, pressure, trauma, impaired perfusion). Slough, in comparison, is usually seen as well hydrated, soft yellow or white tissue. This tissue may be loose and stringy or adherent and is the byproduct of the inflammatory phase of wound healing.

Holly Hovan's picture

Holly M. Hovan MSN, APRN, GERO-BC, CWOCN-AP

In chronic wound management, clinicians often see and treat both partial- and full-thickness wounds. These wounds may present as pressure injuries or other wound types, including, although not limited to burns, trauma wounds (skin tears, abrasions, lacerations), vascular wounds, diabetic wounds, and surgical wounds. It is vital to differentiate partial- versus full-thickness wounds for a multitude of reasons, such as to understand how they heal, guide treatment, and ensure clear accurate documentation, to name a few.

Janet Wolfson's picture

By Janet Wolfson, PT, CLWT, CWS, CLT-LANA

A 55-year-old African American male was admitted to our inpatient rehabilitation facility (IRF) with a right trochanter stage 4 pressure injury, sacral stage 3, and left below the knee amputation (L BKA) with comorbid diabetes mellitus (DM) and end-stage renal disease (ESRD). A 2-person skin assessment was completed on admission by 2 RNs, one of whom had worked in a wound clinic for several years. While changing his negative pressure wound therapy device on his right hip 1 week later, I decided to check his right heel. He had evidence of callus and ashy skin, but I thought I could see an injury curved around the callus area, as seen in image 1. Upon further inspection, I discovered a stage 2 blister approximately 4x5 cm. The skin had the texture of dry, crumpling, thin cardboard. He had no sense of pain in the area. As an amputee, he did not have another heel to compare temperature, texture, or color.

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Alton R. Johnson Jr.'s picture

Alton R. Johnson, Jr, DPM, DABPM, FACPM, FASPS, CWSP

In this interview with Dr. Johnson, he describes the use of imaging technology in wound care and how clinicians should be aware of the way skin pigmentation may be evaluated differently/ incorrectly with these systems.

Christine Miller's picture

Christine Miller, DPM, PhD

As the holiday season approaches, bundles of mistletoe will no doubt appear in many homes across the world. This popular holiday decoration, with its green leaves and white berries dangling from doorways, may induce the act of kissing between passersby. Mistletoe (Viscum album L.) is a semi-parasitic shrub that often grows upon oak, pine, and elm trees and is a member of the Viscaceae family commonly found in northern Europe. One may never look at mistletoe the same after learning about its therapeutic offerings, especially as those therapeutic properties relate to wound care.

WoundSource Editors's picture

Editor’s note: The following is a series of answers to questions asked at the webinar Avoidable or Unavoidable Pressure Injury: Why is it So Hard to Do the Right Thing? sponsored by Smith+Nephew. Lee C. Ruotsi, MD, ABWMS, CWS-P, UHM is answering the questions found below. This webinar can be found on demand.

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Elizabeth Dechant's picture

Elizabeth Day Dechant, BSN, RN, CWOCN, CFCN

The benefit of Negative Pressure Wound Therapy (NPWT) as an “active,” adjunctive treatment is well-established. Evidence has shown that wounds treated with negative pressure granulate faster than wounds managed with traditional dressings. There is ever-increasing literature to support the use of NPWT to treat wounds effectively and safely in even the youngest patients.1 Some specific benefits of NPWT for pediatric and adolescent patients include decreased frequency of dressing changes, as well as a dressing that is occlusive and unlikely to be removed by the patient.

Holly Hovan's picture

Holly M. Hovan MSN, APRN, GERO-BC, CWOCN-AP

An important step in wound management is identifying wound etiology. Pinpointing the problem often helps guide patient treatment. Identifying the cause of the wound, employing evidence-based interventions, and initiating an appropriate topical therapy will help to stabilize and, oftentimes, heal the wound. However, the decisions patients make on a daily basis, along with activities (time spent in bed, chair, with legs dependent, etc), have a significant impact on healing outcomes, independent of the wound care professional. Patient-centered education is a huge piece of effective self-management and an essential component of the nursing plan of care. This blog will focus on the importance of initial and ongoing patient-centered education in chronic wound management.

WoundSource Practice Accelerator's picture

As the health care industry moves from volume-driven to value-based care, clinicians are looking for ways to improve care and outcomes while reducing costs. Data-driven practice management has emerged as a key strategy for cost-effective quality care. But the question remains: How can patient data and analytics be used to improve wound care across care settings? Additionally, how can artificial intelligence and machine learning affect outcomes, and how can these technologies help providers achieve even better results in the future?